16D2110464 CLIA NUMBER - JACKSON RECOVERY CENTERS - CARH

Laboratory Demographics

  • CLIA Code: 16D2110464
  • Facility Name: JACKSON RECOVERY CENTERS - CARH
  • Facility Address: 3500 WEST 5TH STREET
    SIOUX CITY, IA
    ZIP 51103
  • Facility Phone: 712 226-1800
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: RACHEL WURTH
  • NPI Number: 1770966491
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2110464
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name JACKSON RECOVERY CENTERS - CARH
Street 3500 WEST 5TH STREET
City SIOUX CITY
State IA
ZIP 51103
Phone 712 226-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director RACHEL WURTH

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This page was last updated on: 9/29/2025